Report of Accident (ROA) Workplace Injury, Accident or Occupational Disease
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| Título |
Report of Accident (ROA) Workplace Injury, Accident or Occupational Disease |
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| Descripción | You can submit a Report of Accident (ROA) online https://secure.lni.wa.gov/home This form is not on the internet. If you are an injured worker, ask your doctor for a copy of this form. Order F242-130-999 from the warehouse to receive the instructions in Spanish to complete the form in English. |
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| Detalle | ||
| Número del formulario | F242-130-000 | |
| Disponibilidad | ordénelo | |
| Palabras claves | accident report, claim information, claims, coverage, diseases, espanol, industrial insurance, medical forms, most requested forms, most requested forms, occupational diseases, occupational injuries, report of injury or occupational disease, reporting accidents, worker's compensation, workers compensation, workers' compensation | |
| Idiomas | English, Spanish | |
| Fechas válidas | 10-2012 | |
| Contacto | ||
| Páginas de Internet | Workers' Comp Claims | |
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